Karen Poehailos, MD
NPI 1568439040 · Family Medicine Physician · Westerville, OH
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Poehailos, MD is a Family Medicine Physician provider in Westerville, OH (NPI 1568439040).
Provider details
- NPI number
- 1568439040
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101046855 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
331 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 97 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 86 | $122 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 65 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 42 | $125 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 26 | $155 |
| Urinalysis, Manual Test81002 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 59 | 20 |
| Levothyroxine Sodium | 43 | 18 |
| Lisinopril | 43 | 17 |
| Atorvastatin Calcium | 40 | 17 |
| Losartan Potassium | 32 | — |
| Levothyroxine Sodiumbrand: Synthroid | 28 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$222 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-03
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Karen Poehailos's NPI number?
- Karen Poehailos's National Provider Identifier (NPI) is 1568439040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Poehailos's specialty?
- Karen Poehailos is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Poehailos located?
- Karen Poehailos's practice location on file with NPPES is 400 Altair Pkwy Ste 3100, Westerville, OH 43082-7653.
- What is Karen Poehailos's phone number?
- The practice phone number listed in the NPPES registry for Karen Poehailos is (614) 360-9995.
- Does Karen Poehailos accept Medicare?
- Karen Poehailos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Poehailos's NPI active?
- Yes — Karen Poehailos's NPI (1568439040) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.